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目的探讨老年人脑梗死的发病与血压、血脂、血糖和D-II聚体的关系。方法抽取我院2002年1月～2005年6月住院期间老年人(>60岁)住院病人176例。以脑CT检测结果分为脑梗死组(114例)和非梗死组(对照组62例),合并脑出血等其它脑血管疾病,接受降脂、降糖及抗凝、降纤治疗患者除外。两组病人的血压、血脂、血糖、D-II聚体检测指标用SPSS10.0统计软件进行分析。结果老年人脑梗死组合并高血压的发生率明显高于对照组(P<0.05),两组的胆固醇(TG)、甘油三酯(TCH)、高密度脂蛋白-胆固醇(HDL-ch)、载脂蛋白-A(APO-A)、载脂蛋白-B(APO-B)生化指标无统计学差异(P>0.05),低密度脂蛋白-胆固醇(LDH-ch)、血糖(GLU)、D-II聚体(D.D)有显著差异(P<0.05或P<0.01)。结论高血压作为老年人脑梗死的独立危险因素,是老年人防治脑梗死的重点内容,降低LDL-CH,提高HDL-ch/LDH-ch比值,加强对血糖的监控防治及抗凝、降纤治疗,对防治老年人脑梗死有积极的意义。
Objective To investigate the relationship between the incidence of cerebral infarction and blood pressure, blood lipids, blood glucose and D-dimer in the elderly. Methods A total of 176 elderly patients (> 60 years old) were hospitalized in our hospital from January 2002 to June 2005. Cerebral CT examination results were divided into cerebral infarction group (114 cases) and non-infarction group (control group, 62 cases), with cerebral hemorrhage and other cerebrovascular diseases, received lipid-lowering, hypoglycemic and anticoagulant, fibrinolytic patients excluded. Two groups of patients blood pressure, blood lipids, blood glucose, D-II polymer detection indicators using SPSS10.0 statistical software for analysis. Results The incidence of hypertension complicated with cerebral infarction in the elderly group was significantly higher than that in the control group (P <0.05). The levels of cholesterol, triglyceride (TCH), high density lipoprotein cholesterol (HDL-ch) There was no significant difference in the biochemical parameters of APO-A and APO-B (P> 0.05), LDH-ch, GLU, There was a significant difference in D-II aggregates (P <0.05 or P <0.01). Conclusion Hypertension, as an independent risk factor for cerebral infarction in the elderly, is the focus of the prevention and treatment of cerebral infarction in the elderly. It can reduce LDL-CH, increase the ratio of HDL-ch / LDH-ch, monitor and prevent blood glucose, Treatment, prevention and treatment of cerebral infarction in the elderly have a positive meaning.